Individual ProviderHumera AhsanRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr, Columbia, MO 65212-0001(573) 884-7770(573) 884-3300PECOS EnrollmentBased on the most recent information from CMS, provider Humera Ahsan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114157443Provider TypeIndividualFull NameAhsan, HumeraCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/21/2009Last Updated7/28/2022Contact InformationPractice LocationPractice Address1 Hospital Dr, Columbia, MO 65212-0001Phone(573) 884-7770Fax(573) 884-9876Mailing LocationMailing AddressPO Box 843966, Kansas City, MO 64184-3966Phone(573) 884-3300Fax(573) 884-0943Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2015001246Missouri